Laserfiche WebLink
ATTACHMENT A <br />STATEMENT OF WORK <br />dual participation records within three (3) months from the month of the automated alert <br />within the MIS system. <br />AA. All activities related to WIC program, including timeframes, budget, and any revisions <br />shall be approved by System Agency. <br />BB. Submit to System Agency the following deliverables in a format designated by System <br />Agency: <br />1. Monthly WIC Local Agency Performance Measure Report submitted by the 1516 <br />calendar day of the following month; and <br />2. Monthly Extended Hours Summary Report submitted by the 15'b calendar dayof the <br />following month. <br />Ii. PERFORMANCE MEASURES <br />The System Agencywill monitor the Grantee's performance of the requirements in this Attachment <br />A and compliance with the Contract's terms and conditions. <br />The following performance measures will be used to assess, in part, Grantee's effectiveness in <br />providing the services described in the Contract, without waiving the enforceability of any of the <br />other terms of the contract. <br />A. Grantee shall ensure: <br />1. An average of 95% of families each quarter who participate in WIC Program by <br />receiving food benefits shall also receive nutrition education classes or individual <br />counseling services to coincide with food instrument issuance; <br />2. An average of 20% of all pregnant women who enter the WIC Program each quarter <br />shall be certified as eligible during the period of the first trimester of their pregnancy; <br />3. An average of 80% of clients a quarter who are enrolled in the WIC Program, <br />excluding dual participants, transfer locked and/ormigrant clients, shall participate as <br />food benefit recipients each month (breast-feeding infants are also included in the <br />client count); and <br />4. 100% of participants who indicate during the enrollment process for the WIC <br />Program that they have no source of health care shall he referred to at least one (1) <br />source of health care at certification of eligibility. <br />U1. INVOICE AND PAYMENT <br />A. Grantee will request monthly payments using the State ofTexas Purchase Voucher (Form <br />B-13) at http://www.dahs.texas.gov/grants/forms.shttn and submit with any supporting <br />System Agency Contract No. 2017-04973,SAQl <br />v. 46.22.2016 Page 5 <br />